不同方法预测困难气道喉镜插管的有效性分析(1)
摘 要：目的 对不同的预测困难气道喉镜插管方法的有效性进行对比和分析。方法 选取2014年3月～2015年3月在我院接受手术治疗的进行全麻气管插管的患者200例，所有患者的ASA属I级或II级。对患者进行以下四种方法的预测：甲颏高度、胸颏距离、甲颏距离和身高甲颏距离。并在全麻诱导下对患者行喉镜暴露声门评估，C-L分级中III级IV级为喉镜插管困难。根据以上四种方法下的患者的表现及临床特征，对困难气道喉镜插管患者的特异性、敏感性、阴性预测值、阳性预测值以及精确度进行预测和分析。结果 200例患者中有24例为困难气道喉镜插管患者，占比12.00%。甲颏高度法的敏感性、特异性、阴性预测值、阳性预测值以及精确度都高于胸颏距离、甲颏距离法，对比有统计学意义(P<0.05)，甲颏高度法和身高甲颏距离法所有效果接近，但甲颏高度法相比效果更显著。结论 甲颏高度法在预测困难气道喉镜插管中有显著的效果，在临床上可以进行广泛采用。
关键词：困难气道；喉镜插管；不同方法
中图分类号：R614 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.075
, 百拇医药
文章编号：1006-1959(2018)01-0186-03
Analysis of the Effectiveness of Different Methods for Predicting Difficult Airway Laryngoscope Intubation
CAO Jun
(Department of Anesthesiology，Shangrao Hospital of Traditional Chinese Medicine，Shangrao 334000，Jiangxi，China)
Abstract：Objective To compare and analyze the effectiveness of different intubation methods for predicting the difficulty of laryngoscopy.Methods A total of 200 patients undergoing general anesthesia for tracheal intubation undergoing surgery in our hospital from March 2014 to March 2015 were selected.All patients had ASA grade I or II.Patients were predicted by four methods： chin height，chin distance，chi distance and height chin distance. Patients underwent general anesthesia with laryngoscope exposure glottic evaluation of glottis，C-L grade III grade IV laryngoscopy difficult.The specificity，sensitivity，negative predictive value，positive predictive value and accuracy of patients with difficult airway laryngoscope intubation were predicted and analyzed according to the performance and clinical features of the above four methods.Results Of the 200 patients，24 were difficult-to-air laryngoscope intubation patients，accounting for 12.00%.The sensitivity，specificity，negative predictive value，positive predictive value and accuracy of chimerism were higher than those of chin and chin，distance between chin and chin，and the difference was statistically significant(P<0.05).The chin height method and height chin distance method all effect is close，but the chimera height method is more significant than the effect.Conclusion The methylamine height method in predicting difficult laryngoscope intubation has a significant effect，which can be widely used in clinical practice.
Key words：Difficult airway；Laryngoscope cannulation；Different approaches
在臨床治疗过程中，通常会遇到很多困难气道插管的现象。因此，术前要对患者的气道进行充分的评估和检查，否则会导致严重的麻醉并发症并可能引起患者死亡。临床治疗中，科学合理的困难气道预测方法非常关键[1]。临床上常用的预测方法包括：头颈活动度、下颌支长度、甲颏距离、胸颏间距、身高甲颏距离等。本文根据临床上常用的几种预测方法，对比分析哪一种方式更为合适，效果更为显著，具体分析如下。, 百拇医药(曹俊)
关键词：困难气道；喉镜插管；不同方法
中图分类号：R614 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.075
, 百拇医药
文章编号：1006-1959(2018)01-0186-03
Analysis of the Effectiveness of Different Methods for Predicting Difficult Airway Laryngoscope Intubation
CAO Jun
(Department of Anesthesiology，Shangrao Hospital of Traditional Chinese Medicine，Shangrao 334000，Jiangxi，China)
Abstract：Objective To compare and analyze the effectiveness of different intubation methods for predicting the difficulty of laryngoscopy.Methods A total of 200 patients undergoing general anesthesia for tracheal intubation undergoing surgery in our hospital from March 2014 to March 2015 were selected.All patients had ASA grade I or II.Patients were predicted by four methods： chin height，chin distance，chi distance and height chin distance. Patients underwent general anesthesia with laryngoscope exposure glottic evaluation of glottis，C-L grade III grade IV laryngoscopy difficult.The specificity，sensitivity，negative predictive value，positive predictive value and accuracy of patients with difficult airway laryngoscope intubation were predicted and analyzed according to the performance and clinical features of the above four methods.Results Of the 200 patients，24 were difficult-to-air laryngoscope intubation patients，accounting for 12.00%.The sensitivity，specificity，negative predictive value，positive predictive value and accuracy of chimerism were higher than those of chin and chin，distance between chin and chin，and the difference was statistically significant(P<0.05).The chin height method and height chin distance method all effect is close，but the chimera height method is more significant than the effect.Conclusion The methylamine height method in predicting difficult laryngoscope intubation has a significant effect，which can be widely used in clinical practice.
Key words：Difficult airway；Laryngoscope cannulation；Different approaches
在臨床治疗过程中，通常会遇到很多困难气道插管的现象。因此，术前要对患者的气道进行充分的评估和检查，否则会导致严重的麻醉并发症并可能引起患者死亡。临床治疗中，科学合理的困难气道预测方法非常关键[1]。临床上常用的预测方法包括：头颈活动度、下颌支长度、甲颏距离、胸颏间距、身高甲颏距离等。本文根据临床上常用的几种预测方法，对比分析哪一种方式更为合适，效果更为显著，具体分析如下。, 百拇医药(曹俊)